Dr JENNIFER RENEE BASFORD is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.
ST VINCENT MEDICAL GROUP INC
409 E GREEENVILLE AVE
WINCHESTER
IN
473949436
Tel: 7655840480
| Npi | 1558879577 |
| Pac Id | 5294095501 |
| Professional Enrollment Id | I20180206001952 |
| Last Name | BASFORD |
| First Name | JENNIFER |
| Middle Name | RENEE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Group Practice Pac Id | 7012047640 |
| Number Of Group Practice Members | 705 |
| Line 1 Street Address | 409 E GREEENVILLE AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WINCHESTER |
| State | IN |
| Zip Code | 473949436 |
| Phone Number | 7655840480 |
| Hospital Affiliation Ccn 1 | 151301 |
| Hospital Affiliation Lbn 1 | ST VINCENT RANDOLPH HOSPITAL INC |
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| Professional Accepts Medicare Assignment | Y |
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